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This case study highlights how nursing care, including play, helped a 4-year-old boy cope with same-day surgery for ear tube insertion. Supportive nursing interventions fostered the child's confidence and sense of mastery.
Area of Science:
- Pediatric Nursing
- Child Psychology
- Surgical Patient Care
Background:
- Same-day surgery for pediatric patients, such as myringotomy with polyethylene tube insertion, requires specific attention to the child's psychological well-being.
- Understanding and addressing the coping mechanisms of young children undergoing elective procedures is crucial for minimizing distress.
Observation:
- A 4-year-old boy undergoing myringotomy and polyethylene tube insertion as a same-day surgery patient was observed.
- Nursing care facilitated therapeutic play, allowing the child to express emotions related to the surgical experience.
- The child's behavioral responses were monitored throughout the admission.
Findings:
- The child exhibited coping behaviors that indicated a positive adaptation to the surgical event.
- Planned and supportive nursing interventions, including play therapy, were directly linked to the child's emotional processing.
- The nursing approach promoted the child's sense of mastery and self-confidence post-procedure.
Implications:
- Therapeutic play is an effective nursing intervention for pediatric surgical patients.
- Supportive nursing care can significantly enhance a child's coping abilities and psychological adjustment to surgery.
- This case study underscores the importance of integrating psychosocial support into same-day pediatric surgical care pathways.
Abstract:
This case study of a 4-year-old boy describes his coping behaviors during admission for myringotomy and polyethylene tube insertion as a same day surgery patient. Nursing care provided the child with the opportunity to "play out" feelings aroused by the experience as a surgical patient. The child's behavior indicated that the planned and supportive responses of the nurse caring for him promoted the child's sense of mastery and self-confidence.